NPI age
20 years
Enumerated 2005-09-06
● Active
Type 1 · Individual
DR. Ron Wade Porter, M.D.
Porter is 1 of 4 pediatrics providers in Ammon and 1 of 252 in Idaho.
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 252 active pediatrics providers in Idaho.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
3067 Eagle Dr
Ammon, ID 834061273
Mailing address
3067 Eagle Dr
Ammon, ID 834061273
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1645 Pancheri Dr
Idaho Falls, ID 834023169
Location 3
1236 Bond Ave Ste B
Rexburg, ID 834403503
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010004000 | BLUE SHIELD |
| 05 (ID) | 804187300 | |
| 01 (ID) | 42291 | BLUE CROSS |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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